Individual
AMY R LIEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4000 KINGS HWY, PORT CHARLOTTE, FL 33980-8718
(941) 255-5855
Mailing address
4301 KNOLLWOOD DR, PUNTA GORDA, FL 33982-1821
(941) 626-6795
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
11/23/2018
Last updated
11/23/2018
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